Quality management, certification and accreditation in medical laboratories – the view of ECLM

 Increasing demands from health care planners and industrialists conducting clinical trials, as well as general competition, are forcing medical laboratories to seek third-party recognition of their quality management systems. There is a tendency to move from certification of a laboratory director, via certification of the laboratory quality system (ISO 9000 family), to accreditation needing proof of professional and technical competence in laboratory tasks. The requirements of accreditation are presented in several national schemes and in the European Standards series (EN 45 000) and the International Organization for Standardization's guide, ISO/IEC 25, to be amalgamated soon. The latter system provides transnational recognition through participation of the accrediting bodies in the European co-operation for Accreditation. Necessary supplementary guidelines exist for chemical laboratories (Eurachem) and medical laboratories CEAC/ECLM). Traceability and reliability of results are obtained by utilizing a global reference examination system and by participating in transdisciplinary work. The costs of achieving accreditation are considerable and mainly involve the production of quality handbooks and written work procedures by personnel. The rewards are an open system, smoother work, emphasis on prevention of mistakes, and satisfied stakeholders. Received: 5 October 1998 · Accepted: 20 October 1998     

How big are atoms in crystals?

Atoms and bonds are central concepts in structural chemistry, but neither are concepts that arise naturally from the physics of condensed phases. It is ironic that the internuclear distances in crystals that are readily measured depend on the sizes of atoms, but since atoms in crystals can be defined in many different ways, all of them arbitrary and often incompatible, there is no natural way to express atomic size. I propose a simple coherent picture of Atoms-in-Crystals which combines properties selected from three different physically sound definitions of atoms and bonds. The charge density of the free atom that is used to construct the procrystal is represented by a sphere of constant charge density having the quantum theory of atoms in molecules (QTAIM) bonded radius. The sum of these radii is equal to the bond length that correlates with the bond flux (bond valence) in the flux theory of the bond. The use of this model is illustrated by answering the question: How big are atoms in crystals? The QTAIM bonded radii are shown to be simple functions of two properties, the number of quantum shells in the atomic core and the flux of the bond that links neighbouring atoms. Various radii can be defined. The univalent bonded radius measures the intrinsic size of the atom and is the same for all cations in a given row of the periodic table, but the observed bonded radius depends also on the bond flux that reflects the chemical environment.     

How important are temperature effects for cluster polarizabilities?

State-of-the-art first-principle all-electron density functional theory calculations on small sodium clusters are performed to study the temperature dependency of their polarizabilities. For this purpose Born-Oppenheimer molecular dynamics simulations with more than 100,000 time steps (>200 ps) are recorded employing gradient corrected functionals in combination with a double-zeta valence polarization basis set. For each cluster 18 trajectories between 50 and 900 K are collected. The cluster polarizabilities are then calculated along these trajectories employing a triple-zeta valence polarization basis set augmented with field-induced polarization functions. The analysis of these calculations shows that the temperature dependency of the sodium cluster polarizabilities varies strongly with cluster size. For several clusters characteristic changes in the polarizability per atom as a function of temperature are observed. It is shown that the inclusion of finite temperature effects resolves the long-standing mismatch between calculated and measured sodium cluster polarizabilities.     

How many Langmuirs are required for monolayer formation?

In the present work, we provide the exact answer to the title question employing a probabilistic approach. The average number of Langmuirs L required for monolayer formation was found to be equal to (1/i), i.e., the armonic series up to the nth term, where n is the number of adsorption sites. This result is particularly useful when a reduced number of adsorption sites is considered, such as adsorption on small terraces of nanoscopic dimensions where the value of n could be in the range of a few thousands sites. In this case, the use of integrated equations derived from the mean-field approach would provide completely misleading results.     

Chalcogen Bonds: How to Characterize Them in Solution?

Chalcogen bonds (ChBs) occur between molecules containing Lewis acidic chalcogen substituents and Lewis bases. Recently, ChB emerged as a pivotal interaction in solution-based applications such as anion recognition, anion transport and catalysis. However, before moving to applications, the involvement of ChB must be established in solution. In this Concept article, we provide a brief review of the currently available experimental investigations of ChB in solution.     

How rigid are conjugated non-ladder and ladder polymers?

Persistence length is commonly used to quantitatively describe the chain rigidity of macromolecules, which represents an important structural parameter governing many physical properties of polymers. Although the mathematical models and experimental measurements on the chain rigidity of conventional single stranded polymers have been well explored and documented, those of the more rigid yet highly intriguing multiple stranded polymers, especially conjugated ladder polymers, are yet not well established. This article introduces the fundamental concepts on macromolecular chain rigidity, as well as the corresponding experimental methods, models, and simulations. Subsequently, representative examples of works done on the chain rigidity of nonladder conjugated polymers and conjugated ladder polymers are reviewed. Last but not least, it provides outlooks on the challenges with respect to the less-investigated chain rigidity of conjugated ladder polymers, including new models to describe and predict chain conformation, synthetic control on structural defects, and insights into the correlation of rigidity and applications.     

How accurate are continuum solvation models for drug-like molecules?

We have estimated the hydration free energy for 20 neutral drug-like molecules, as well as for three series of 6–11 inhibitors to avidin, factor Xa, and galectin-3 with four different continuum solvent approaches (the polarised continuum method the Langevin dipole method, the finite-difference solution of the Poisson equation, and the generalised Born method), and several variants of each, giving in total 24 different methods. All four types of methods have been thoroughly calibrated for a number of experimentally known small organic molecules with a mean absolute deviation (MAD) of 1–6 kJ/mol for neutral molecules and 4–30 kJ/mol for ions. However, for the drug-like molecules, the accuracy seems to be appreciably worse. The reason for this is that drug-like molecules are more polar than small organic molecules and that the uncertainty of the methods is proportional to the size of the solvation energy. Therefore, the accuracy of continuum solvation methods should be discussed in relative, rather than absolute, terms. In fact, the mean unsigned relative deviations of the best solvation methods, 0.09 for neutral and 0.05 for ionic molecules, correspond to 2–20 kJ/mol absolute error for the drug-like molecules in this investigation, or 2–3,000 in terms of binding constants. Fortunately, the accuracy of all methods can be improved if only relative energies within a series of inhibitors are considered, especially if all of them have the same net charge. Then, all except two methods give MADs of 2–5 kJ/mol (corresponding to an uncertainty of a factor of 2–7 in the binding constant). Interestingly, the generalised Born methods typically give better results than the Poison–Boltzmann methods. Electronic supplementary material  The online version of this article (doi:) contains supplementary material, which is available to authorized users.     

How accurate are electronic structure methods for actinoid chemistry?

The CASPT2, CCSD, and CCSD(T) levels of wave function theory and seven density functionals were tested against experiment for predicting the ionization potentials and bond dissociation energies of actinoid monoxides and dioxides with their cations. The goal is to guide future work by enabling the choice of an appropriate method when performing calculations on actinoid-containing systems. We found that four density functionals, namely MPW3LYP, B3LYP, M05, and M06, and three levels of wave function theory, namely CASPT2, CCSD, and CCSD(T), give similar mean unsigned errors for actinoid?Coxygen bond energies and for ionization potentials of actinoid oxides and their cations.     

How sensitive are nanosecond molecular dynamics simulations of proteins to changes in the force field?

The sensitivity of molecular dynamics simulations to variations in the force field has been examined in relation to a set of 36 structures corresponding to 31 proteins simulated by using different versions of the GROMOS force field. The three parameter sets used (43a1, 53a5, and 53a6) differ significantly in regard to the nonbonded parameters for polar functional groups and their ability to reproduce the correct solvation and partitioning behavior of small molecular analogues of the amino acid side chains. Despite the differences in the force field parameters no major differences could be detected in a wide range of structural properties such as the root-mean-square deviation from the experimental structure, radii of gyration, solvent accessible surface, secondary structure, or hydrogen bond propensities on a 5 to 10 ns time scale. The small differences that were observed correlated primarily with the presence of charged residues as opposed to residues that differed most between the parameter sets. The work highlights the variation that can be observed in nanosecond simulations of protein systems and implications of this for force field validation, as well as for the analysis of protein simulations in general.     

Coordination of 1,10-phenanthroline and 2,2'-bipyridine to Li+ in different ionic liquids. How innocent are ionic liquids?

On the basis of (7)Li NMR measurements, we have made detailed studies on the influence of the ionic liquids [emim][NTf(2)], [emim][ClO(4)], and [emim][EtSO(4)] on the complexation of Li(+) by the bidentate N-donor ligands 2,2'-bipyridine (bipy) and 1,10-phenanthroline (phen). For each of the employed ionic liquids the NMR data implicate the formation of [Li(bipy)(2)](+) and [Li(phen)(2)](+), respectively. X-ray diffraction studies were performed to determine the coordination pattern in the solid state. In the case of [emim][ClO(4)] and [emim][EtSO(4)], crystal structures confirmed the NMR data, resulting in the complexes [Li(bipy)(2)ClO(4)] and [Li(phen)(2)EtSO(4)], respectively. On the contrary, the ionic liquid [emim][NTf(2)] generated the C(i) symmetric, dinuclear, supramolecular cluster [Li(bipy)(NTf(2))](2), where the individual Li(+) centers were found to be bridged by two [NTf(2)] anions. Density functional theory (DFT)-calculations lead to further information on the effect of stacking on the coordination geometry of the Li(+) centers.